Individual provider Active NPI

Robin M Solomon, AU.D., FAAA, CCC-A

  • Audiologist
  • Wilton, NY
National Provider Identifier
1609071612
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001068-1 Issued in NY
Practice address
12 Mountain Ledge
Suite 2
Wilton, NY 12831-2539
Phone
(518) 580-0080
Fax
(518) 580-0081
NPI assigned
Jun 19, 2007
Last updated
Aug 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001068-1 NY Primary
Audiologist-Hearing Aid Fitter 237600000X 14000004429 NY

Addresses

Primary practice location

12 Mountain Ledge
Suite 2
Wilton, NY 12831-2539

Mailing address

PO Box 3151
Saratoga Springs, NY 12866-8003
Phone (518) 580-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100715000150 NY Practitioner - Qualified Audiologist 4981736642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 Mountain Ledge
Suite 2
Gansevoort, NY 12831-2539
Phone (518) 580-0080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001068NYMDPsychoanalyst
001068-1NYMDAudiologist
14000004429NYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Care Resources, LLC Audiologist CurrentSince May 24, 2010 Accepting new patients

Locations

12 Mountain Ledge
Ste 2
Wilton, NY 12831
Phone (518) 580-0080

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1609071612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3151",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668003",
            "telephone_number": "518-580-0080",
            "fax_number": "518-580-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MOUNTAIN LEDGE",
            "address_2": "SUITE 2",
            "city": "WILTON",
            "state": "NY",
            "postal_code": "128312539",
            "telephone_number": "518-580-0080",
            "fax_number": "518-580-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "ROBIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "AU.D., FAAA, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001068-1",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000004429",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.